evry-health - Evry Health - Network Relations Specialist

Remote - Europe *1mo ago

Remote Senior NA Payments Hospitals Physician Network Engineer Support Specialist Reporting Documentation Salesforce SAFe

Requirements

• Experience negotiating commercial contracts with hospital systems, provider groups • 5+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies, e.g. percent of Medicare, RBRVS, ICD or similar code set, case rates, DRG, as well may include discussion of value based/risk parameters • Analytic capabilities, including experience with SERFF reporting of network adequacy • Experience with Salesforce or similar contact management system • Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships. • Bonus: Experience in multi-state or national provider contracting • Required to have a dedicated work area established that is separate from other living areas and provides information privacy. • Ability to keep all company sensitive documents secure. • Must live in the United States. • Must live in a location that receives an existing high-speed internet connection/service.

Responsibilities

• Development of an adequate provider network within assigned geographic markets. Includes Negotiating and renegotiating contracts with physicians and provider groups and facilities • Responsible for collecting roster updates and standardizing information received with Analytics and IT teams • Tracking and coordinating notification of effective date with the credentialing CVO • Maintenance and management of the network in accordance with regulatory time, distance and choice requirements • Building and maintaining relationships with contracted providers, including responding to inquiries related to contract status, roster corrections and matters related to information accuracy • Routinely running and monitoring of various reports to ensure all necessary compliance requirements are being met and maintained, and identifying targets to address emergent gaps • Accurate maintenance of Salesforce or similar contract tracking and activity system • Reporting to leadership the current status, risks, and potential opportunities in area of responsibility on a regular basis • Working with analytics and actuarial team(s), compile and analyze provider and hospital fee schedules to benchmark against goals and assist with the medical economics reporting

Benefits

• This is a remote position. Our whole company works remotely. Company headquarters are in Dallas, Texas. • Company business hours are weekdays 9-5 CST. • Full benefits package including health insurance, 401(k) matching, vision, dental, life, disability, and vacation.